ES2333024T3 - Sistema de cierre para organos tubulares. - Google Patents

Sistema de cierre para organos tubulares. Download PDF

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Publication number
ES2333024T3
ES2333024T3 ES05708952T ES05708952T ES2333024T3 ES 2333024 T3 ES2333024 T3 ES 2333024T3 ES 05708952 T ES05708952 T ES 05708952T ES 05708952 T ES05708952 T ES 05708952T ES 2333024 T3 ES2333024 T3 ES 2333024T3
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Spain
Prior art keywords
ring
sleeve
end part
designed
hole
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ES05708952T
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English (en)
Inventor
Michel Bachmann
Christian Imbert
Alain Jordan
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Allergan Medical GmbH
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Allergan Medical GmbH
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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F5/00—Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
    • A61F5/0003—Apparatus for the treatment of obesity; Anti-eating devices
    • A61F5/0013—Implantable devices or invasive measures
    • A61F5/005—Gastric bands
    • A61F5/0066—Closing devices for gastric bands
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/12009—Implements for ligaturing other than by clamps or clips, e.g. using a loop with a slip knot
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/12009—Implements for ligaturing other than by clamps or clips, e.g. using a loop with a slip knot
    • A61B17/12013—Implements for ligaturing other than by clamps or clips, e.g. using a loop with a slip knot for use in minimally invasive surgery, e.g. endoscopic surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F5/00—Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
    • A61F5/0003—Apparatus for the treatment of obesity; Anti-eating devices
    • A61F5/0013—Implantable devices or invasive measures
    • A61F5/005—Gastric bands

Abstract

Anillo ajustable (1) quirúrgicamente implantable, que comprende partes extremas primera (3) y segunda (4), y que está diseñado para cerrarse en torno a un órgano tubular, hacia sus dos partes extremas (3, 4), mediante un sistema de cierre (2, 5) para ajustar el diámetro del mencionado órgano tubular mediante la formación de un lazo, formando la primera parte extrema (3) un manguito que tiene partes extremas abiertas primera (6) y segunda (7) y que está diseñado para recibir la segunda parte extrema (4) del anillo, donde el eje principal del manguito está definido a lo largo de una dirección sustancialmente perpendicular a la dirección principal de la primera parte extrema (3) del anillo, la segunda parte extrema (4) del anillo comprendiendo además un saliente de bloqueo (2) adaptado para sujetar el manguito (3) y asegurar de ese modo el anillo en una posición cerrada, caracterizado por el hecho de que el manguito (3) comprende un agujero (5) diseñado para recibir el mencionado saliente de bloqueo (2).

Description

Sistema de cierre para órganos tubulares.
Campo de la invención
La presente invención se refiere al campo de los dispositivos quirúrgicos para ajustar el diámetro de órganos tubulares tales como el esófago, el estómago, el colon o la uretra. Tales dispositivos pueden utilizarse como esfínteres (por ejemplo, esfínteres anales o del aparato urinario), o para el control de la obesidad.
Más exactamente, se refiere a anillos ajustables, implantables quirúrgicamente, para ceñir los mencionados órganos tubulares.
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Estado de la técnica
Se describen dispositivos quirúrgicos para ajustar el diámetro de órganos tubulares en los documentos de patente US 5 658 298, US 5 601 604, FR 2 823 663, WO 01/85 071 y WO 03/059 215.
El dispositivo descrito en el documento WO 03/059 215 tiene una forma de anillo que comprende partes extremas primera y segunda, y que está diseñada para cerrarse en torno a un órgano tubular, hacia sus dos partes extremas, mediante un sistema de cierre, para ajustar el diámetro del mencionado órgano tubular formando para ello un lazo, formando la primera parte un manguito que tiene partes extremas abiertas primera y segunda y que está diseñado para recibir la segunda parte extrema del anillo, donde el eje principal del manguito está definido a lo largo de una dirección sustancialmente perpendicular a la dirección principal de la primera parte extrema del anillo, la segunda parte del anillo comprendiendo además un saliente de bloqueo, adaptado para sujetar el borde de la segunda parte extrema del manguito y asegurar así el anillo en una posición cerrada.
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Resumen de la invención
Un objetivo de la presente invención es proporcionar un sistema de cierre mejorado para los dispositivos de la técnica anterior, citados previamente.
Este y otros objetivos se consiguen con el dispositivo que se define en la reivindicación 1.
A continuación se discutirá en mayor detalle una realización de la invención, junto con las figuras 1 y 2.
El anillo ajustable 1 comprende partes extremas primera 3 y segunda 4.
Con el anillo 1 puede utilizarse cualquier material adecuado, por ejemplo un material elastomérico biocompatible. La parte externa del anillo 1 puede ser más rígida que la parte interna, la cual tiene un diámetro interno que puede ajustarse.
La primera parte extrema 3 forma un manguito que está diseñado para recibir la segunda parte extrema 4.
La segunda parte extrema 4 tiene una extensión 11 que contiene medios de ajuste, por ejemplo un alambre del que se puede tirar, o al que se puede empujar, para ajustar el diámetro del anillo 1.
El manguito 3 tiene una primera parte extrema 6 que está reforzada por un reborde 12, y una segunda parte extrema 7 que contiene un agujero 5, diseñado para recibir y retener de manera eficiente un saliente 2 que está fijo en la segunda parte extrema 4 del anillo.
Para cerrar y abrir el anillo 1, la segunda parte extrema 7 del manguito está provista con una extensión que forma una lengüeta flexible 9.
La lengüeta 9 contiene un agujero 10 situado cerca del agujero 5 del manguito. La presencia del agujero 10 en la lengüeta 9 proporciona varias ventajas, en concreto al impedir la apertura accidental del sistema de cierre, cuando la lengüeta 9 tiene que soportar fuerzas que tienden a doblar la lengüeta 9 en la dirección de la extensión 11. Las fuerzas pueden deberse al movimiento del paciente o de los órganos del paciente, o al paso de fluido o del bolo alimenticio a través del órgano tubular. La zona entre ambos agujeros 5, 10 está reforzada por un reborde 8. Los otros lados del agujero 10 de la lengüeta están también reforzados por rebordes 13, 14.
La forma del saliente 2 está diseñada para adaptarse estrechamente a la forma del reborde 8.
Por supuesto, la invención no se limita al ejemplo citado arriba.
Por ejemplo, el agujero 10 puede sustituirse por una porción más flexible que la parte restante de la lengüeta 9.
Tal porción más flexible puede obtenerse de diferentes modos, por ejemplo fabricando esta porción de forma que sea más delgada que la lengüeta.
Pueden darse diferentes usos a esta invención, por ejemplo como esfínter o como anillo gástrico.

Claims (6)

1. Anillo ajustable (1) quirúrgicamente implantable, que comprende partes extremas primera (3) y segunda (4), y que está diseñado para cerrarse en torno a un órgano tubular, hacia sus dos partes extremas (3, 4), mediante un sistema de cierre (2, 5) para ajustar el diámetro del mencionado órgano tubular mediante la formación de un lazo, formando la primera parte extrema (3) un manguito que tiene partes extremas abiertas primera (6) y segunda (7) y que está diseñado para recibir la segunda parte extrema (4) del anillo, donde el eje principal del manguito está definido a lo largo de una dirección sustancialmente perpendicular a la dirección principal de la primera parte extrema (3) del anillo, la segunda parte extrema (4) del anillo comprendiendo además un saliente de bloqueo (2) adaptado para sujetar el manguito (3) y asegurar de ese modo el anillo en una posición cerrada, caracterizado por el hecho de que el manguito (3) comprende un agujero (5) diseñado para recibir el mencionado saliente de bloqueo (2).
2. Anillo ajustable acorde con la reivindicación 1, en el que la segunda parte extrema (7) del manguito contiene el mencionado agujero (5), y cubre parcialmente la segunda parte extrema (4) del anillo.
3. Anillo ajustable acorde con la reivindicación 2, que comprende un refuerzo (8), por ejemplo un reborde, situado al menos sobre el lado del agujero que está en estrecho contacto con el saliente (2) cuando el anillo (1) está cerrado.
4. Anillo ajustable acorde con cualquiera de las reivindicaciones previas, que comprende una lengüeta (9) que se extiende desde la segunda parte extrema (7) del manguito.
5. Anillo ajustable acorde con la reivindicación 4, en el que la lengüeta (9) comprende una porción flexible, que es más flexible que la parte restante de la lengüeta, y que está situada próxima al mencionado agujero (5) del manguito, de forma que impide una apertura accidental del sistema de cierre.
6. Anillo ajustable acorde con la reivindicación 5, en el que la mencionada porción flexible comprende un agujero (10).
ES05708952T 2004-03-08 2005-03-05 Sistema de cierre para organos tubulares. Active ES2333024T3 (es)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
CH2004000136 2004-03-08
WOCH2004/000136 2004-03-08

Publications (1)

Publication Number Publication Date
ES2333024T3 true ES2333024T3 (es) 2010-02-16

Family

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Family Applications (1)

Application Number Title Priority Date Filing Date
ES05708952T Active ES2333024T3 (es) 2004-03-08 2005-03-05 Sistema de cierre para organos tubulares.

Country Status (15)

Country Link
US (2) US7811299B2 (es)
EP (2) EP1725193B1 (es)
JP (1) JP4718539B2 (es)
AT (1) ATE444045T1 (es)
AU (2) AU2005221413B2 (es)
BR (1) BRPI0508527A (es)
CA (1) CA2559056A1 (es)
DE (1) DE602005016901D1 (es)
DK (1) DK1725193T3 (es)
EG (1) EG24328A (es)
ES (1) ES2333024T3 (es)
IL (1) IL177784A0 (es)
MX (1) MXPA06010204A (es)
WO (1) WO2005087147A1 (es)
ZA (1) ZA200607475B (es)

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US20070250085A1 (en) 2007-10-25
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EP1725193A1 (en) 2006-11-29
ATE444045T1 (de) 2009-10-15
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US20110040141A1 (en) 2011-02-17
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JP2007527764A (ja) 2007-10-04
IL177784A0 (en) 2006-12-31
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AU2005221413A1 (en) 2005-09-22

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